Portal vein thrombosis risk factors: Difference between revisions
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==Overview== | ==Overview== | ||
Common risk factors in the development of portal vein thrombosis include [[cirrhosis]], [[pancreatitis]], [[duodenal ulcer]], [[cholecystitis]], [[Crohn's disease|Crohn’s disease]], [[ulcerative colitis]], [[cholecystectomy]], [[diverticulitis]], and [[appendicitis]]. Less common risk factors in the development of portal vein thrombosis include [[Oral contraceptive|oral contraceptives]], [[pregnancy]] or [[puerperium]], and [[hyperhomocysteinemia]]. | |||
==Risk Factors== | ==Risk Factors== | ||
* | *Common risk factors in the development of portal vein thrombosis include: [[Hepatic cancer]], [[cirrhosis]], [[pancreatitis]], [[duodenal ulcer]], [[cholecystitis]], [[Crohn's disease|Crohn’s disease]], [[ulcerative colitis]], and [[cholecystectomy]]. | ||
===Common Risk Factors=== | ===Common Risk Factors=== | ||
*Common risk factors in the development of portal vein thrombosis include: | *Common risk factors in the development of portal vein thrombosis include:<ref name="pmid156440392">{{cite journal |vauthors=Webster GJ, Burroughs AK, Riordan SM |title=Review article: portal vein thrombosis -- new insights into aetiology and management |journal=Aliment. Pharmacol. Ther. |volume=21 |issue=1 |pages=1–9 |year=2005 |pmid=15644039 |doi=10.1111/j.1365-2036.2004.02301.x |url=}}</ref><ref name="pmid20066733">{{cite journal |vauthors=Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A |title=Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment |journal=World J. Gastroenterol. |volume=16 |issue=2 |pages=143–55 |year=2010 |pmid=20066733 |pmc=2806552 |doi= |url=}}</ref><ref name="pmid16286254">{{cite journal |vauthors=Wang JT, Zhao HY, Liu YL |title=Portal vein thrombosis |journal=HBPD INT |volume=4 |issue=4 |pages=515–8 |year=2005 |pmid=16286254 |doi= |url=}}</ref><ref name="pmid19299846">{{cite journal |vauthors=Hoekstra J, Janssen HL |title=Vascular liver disorders (II): portal vein thrombosis |journal=Neth J Med |volume=67 |issue=2 |pages=46–53 |year=2009 |pmid=19299846 |doi= |url=}}</ref><ref name="pmid11922544">{{cite journal |vauthors=Sobhonslidsuk A, Reddy KR |title=Portal vein thrombosis: a concise review |journal=Am. J. Gastroenterol. |volume=97 |issue=3 |pages=535–41 |year=2002 |pmid=11922544 |doi=10.1111/j.1572-0241.2002.05527.x |url=}}</ref><ref name="pmid15644039">{{cite journal |vauthors=Webster GJ, Burroughs AK, Riordan SM |title=Review article: portal vein thrombosis -- new insights into aetiology and management |journal=Aliment. Pharmacol. Ther. |volume=21 |issue=1 |pages=1–9 |year=2005 |pmid=15644039 |doi=10.1111/j.1365-2036.2004.02301.x |url=}}</ref> | ||
** | **[[Cirrhosis]] | ||
**Focal inflammatory lesions | **Focal [[inflammatory]] lesions | ||
**Neonatal omphalitis, | **Neonatal [[omphalitis]], [[umbilical vein]] catheterization | ||
**Diverticulitis | **[[Diverticulitis]] | ||
**Pancreatitis | **[[Appendicitis]] | ||
**Duodenal ulcer | **[[Pancreatitis]] | ||
**Cholecystitis | **[[Duodenal ulcer]] | ||
**Tuberculous lymphadenitis | **[[Cholecystitis]] | ||
**Crohn’s disease, ulcerative colitis | **[[Tuberculous lymphadenitis]] | ||
**Cytomegalovirus hepatitis | **[[Crohn’s disease]], [[ulcerative colitis]] | ||
**[[Cytomegalovirus]] [[hepatitis]] | |||
**Injury to the portal venous system | **Injury to the portal venous system | ||
**Splenectomy | **[[Splenectomy]] | ||
**Colectomy | **Colectomy and [[gastrectomy]] | ||
**Cholecystectomy | **[[Cholecystectomy]] | ||
**Liver transplantation | **[[Liver transplantation]] | ||
**Abdominal trauma | **[[Abdominal trauma]] | ||
**Surgical portosystemic shunting | **Surgical portosystemic shunting | ||
**Iatrogenic (fine needle aspiration of abdominal masses etc.) | **Iatrogenic (fine needle aspiration of abdominal masses etc.) | ||
**Preserved [[liver function]] with precipitating factors ([[splenectomy]], surgical portosystemic shunting, [[TIPS]] dysfunction, [[thrombophilia]]) | |||
**Preserved liver function with precipitating factors (splenectomy, surgical portosystemic shunting, TIPS dysfunction, thrombophilia) | |||
**Advanced disease in the absence of obvious precipitating factors | **Advanced disease in the absence of obvious precipitating factors | ||
===Less | ===Less common Risk Factors=== | ||
*Less common risk factors in the development of | *Less common risk factors in the development of portal vein thrombosis include:<ref name="pmid11922544">{{cite journal |vauthors=Sobhonslidsuk A, Reddy KR |title=Portal vein thrombosis: a concise review |journal=Am. J. Gastroenterol. |volume=97 |issue=3 |pages=535–41 |year=2002 |pmid=11922544 |doi=10.1111/j.1572-0241.2002.05527.x |url=}}</ref><ref name="pmid10706547">{{cite journal |vauthors=Denninger MH, Chaït Y, Casadevall N, Hillaire S, Guillin MC, Bezeaud A, Erlinger S, Briere J, Valla D |title=Cause of portal or hepatic venous thrombosis in adults: the role of multiple concurrent factors |journal=Hepatology |volume=31 |issue=3 |pages=587–91 |year=2000 |pmid=10706547 |doi=10.1002/hep.510310307 |url=}}</ref><ref name="pmid19678814">{{cite journal |vauthors=Chawla Y, Duseja A, Dhiman RK |title=Review article: the modern management of portal vein thrombosis |journal=Aliment. Pharmacol. Ther. |volume=30 |issue=9 |pages=881–94 |year=2009 |pmid=19678814 |doi=10.1111/j.1365-2036.2009.04116.x |url=}}</ref> | ||
**[[Oral contraceptives]] | |||
**[[Pregnancy]] or [[puerperium]] | |||
** | **[[Hyperhomocysteinemia]] | ||
** | **[[Malignancy]] | ||
** | |||
** | |||
==References== | ==References== | ||
Latest revision as of 14:26, 29 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Common risk factors in the development of portal vein thrombosis include cirrhosis, pancreatitis, duodenal ulcer, cholecystitis, Crohn’s disease, ulcerative colitis, cholecystectomy, diverticulitis, and appendicitis. Less common risk factors in the development of portal vein thrombosis include oral contraceptives, pregnancy or puerperium, and hyperhomocysteinemia.
Risk Factors
- Common risk factors in the development of portal vein thrombosis include: Hepatic cancer, cirrhosis, pancreatitis, duodenal ulcer, cholecystitis, Crohn’s disease, ulcerative colitis, and cholecystectomy.
Common Risk Factors
- Common risk factors in the development of portal vein thrombosis include:[1][2][3][4][5][6]
- Cirrhosis
- Focal inflammatory lesions
- Neonatal omphalitis, umbilical vein catheterization
- Diverticulitis
- Appendicitis
- Pancreatitis
- Duodenal ulcer
- Cholecystitis
- Tuberculous lymphadenitis
- Crohn’s disease, ulcerative colitis
- Cytomegalovirus hepatitis
- Injury to the portal venous system
- Splenectomy
- Colectomy and gastrectomy
- Cholecystectomy
- Liver transplantation
- Abdominal trauma
- Surgical portosystemic shunting
- Iatrogenic (fine needle aspiration of abdominal masses etc.)
- Preserved liver function with precipitating factors (splenectomy, surgical portosystemic shunting, TIPS dysfunction, thrombophilia)
- Advanced disease in the absence of obvious precipitating factors
Less common Risk Factors
References
- ↑ Webster GJ, Burroughs AK, Riordan SM (2005). "Review article: portal vein thrombosis -- new insights into aetiology and management". Aliment. Pharmacol. Ther. 21 (1): 1–9. doi:10.1111/j.1365-2036.2004.02301.x. PMID 15644039.
- ↑ Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A (2010). "Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment". World J. Gastroenterol. 16 (2): 143–55. PMC 2806552. PMID 20066733.
- ↑ Wang JT, Zhao HY, Liu YL (2005). "Portal vein thrombosis". HBPD INT. 4 (4): 515–8. PMID 16286254.
- ↑ Hoekstra J, Janssen HL (2009). "Vascular liver disorders (II): portal vein thrombosis". Neth J Med. 67 (2): 46–53. PMID 19299846.
- ↑ 5.0 5.1 Sobhonslidsuk A, Reddy KR (2002). "Portal vein thrombosis: a concise review". Am. J. Gastroenterol. 97 (3): 535–41. doi:10.1111/j.1572-0241.2002.05527.x. PMID 11922544.
- ↑ Webster GJ, Burroughs AK, Riordan SM (2005). "Review article: portal vein thrombosis -- new insights into aetiology and management". Aliment. Pharmacol. Ther. 21 (1): 1–9. doi:10.1111/j.1365-2036.2004.02301.x. PMID 15644039.
- ↑ Denninger MH, Chaït Y, Casadevall N, Hillaire S, Guillin MC, Bezeaud A, Erlinger S, Briere J, Valla D (2000). "Cause of portal or hepatic venous thrombosis in adults: the role of multiple concurrent factors". Hepatology. 31 (3): 587–91. doi:10.1002/hep.510310307. PMID 10706547.
- ↑ Chawla Y, Duseja A, Dhiman RK (2009). "Review article: the modern management of portal vein thrombosis". Aliment. Pharmacol. Ther. 30 (9): 881–94. doi:10.1111/j.1365-2036.2009.04116.x. PMID 19678814.